Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Long-term care

The Economic Impact of Rural Nursing Homes
Discusses the projected national total health expenditures and national nursing home expenditures that are affected by the aging population of the U.S. and increased life expectancies. Identifies how nursing homes contribute economically to the community through wages, salaries and benefits.
Author(s): Cheryl F. St. Clair, Gerald A. Doeksen, Fred C. Eilrich
Date: 07/2017
Type: Document
Sponsoring organization: National Center for Rural Health Works
view details
Rebalance Without the Balance: A Research Note on the Availability of Community-Based Services in Areas Where Nursing Homes Have Closed
Describes the existing distribution, including a rural and urban comparison, of community-based services (CBS) in areas where nursing homes have closed, and examines differences in CBS availability. Analysis uses data from local market and population characteristics as well as differences in state policies.
Author(s): Denise A. Tyler, Mary L. Fennell
Citation: Research on Aging, 39(5), 597-611
Date: 06/2017
Type: Document
view details
MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2017
Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment policies, the redesign of the Merit-Based Incentive Payment System (MIPS) and other alternative payment models, drug and device manufacturer payments to physicians and teaching hospitals, stand-alone emergency departments, and skilled nursing facility use. Rural hospitals and rural patient populations are discussed throughout the report.
Date: 06/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Rural Promising Practice Issue Brief: Interdisciplinary Clinical Video - Telehealth for Geriatrics and Dementia
Highlights the development, implementation, and evaluation of an interdisciplinary telehealth program designed to help caregivers provide coordinated care for aging rural veterans suffering from dementia. Discusses the interdisciplinary team model comprised of social workers, geriatricians, primary care providers, and rural caregivers coordinating to maintain a uniform level of care. Includes outcomes regarding the increase of access to education and caregiver support, as well as the ability of providers to prescribe medication to rural patients.
Additional links: Overview
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
view details
Medical Barriers to Nursing Home Care for Rural Residents
Explores challenges faced by rural people seeking placement in nursing homes, especially those with behavioral or psychiatric conditions, complex care needs, dementia, or obesity, and identifies possible solutions through policy changes. Uses data from telephone interviews with 23 discharge planners from rural hospitals in Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin.
Author(s): Carrie Henning-Smith, Michelle Casey, Shailendra Prasad, Katy Kozhimannil
Date: 05/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Tribal Nursing Homes: Best Practices for Patients with Dementia and Alzheimer's Disease
Details a report on tribal nursing homes' best practices for treatment of Dementia and Alzheimer's disease. Discusses cultural considerations and risk factors in caring for Native American elders. Includes related organizations, resources, and webinars.
Date: 03/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
MedPAC Report to the Congress: Medicare Payment Policy, 2017
Provides an annual review of Medicare payment policies, with recommendations to Congress. Includes discussions on Medicare payment policies that directly affect rural providers and beneficiaries. Analyses payment adequacy for home health, skilled nursing, long-term care hospitals, hospice, ambulatory surgical centers, and rehabilitation facilities.
Date: 03/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Reclaiming What is Sacred: Addressing Harm to Indigenous Elders and Developing a Tribal Response to Abuse in Later Life
Presents strategies and information for preventing elder abuse in American Indian and Alaska Native communities. Discusses the prevalence of elder abuse, as well as cultural considerations for prevention policies and programs.
Additional links: Tools, Webinar Recording
Author(s): Lauren J. Litton, Victoria Ybanez
Date: 02/2017
Type: Document
Sponsoring organization: National Clearinghouse on Abuse in Later Life
view details
LTSS Research: LTSS for Native Veterans - Annotated Literature Review
Presents an annotated literature review of long-term services and supports research for Native American and Alaska Native veterans. Features information on nursing homes, assisted living, and home healthcare, among other topics.
Date: 12/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Tribal Nursing Home Best Practices: Traditional Foods
Presents a guide for tribal nursing homes to develop a traditional food menu for elderly American Indians and Alaska Natives. Discusses the health benefits of traditional foods and the methods for involving elders and the community in the planning and implementing of traditional food menus. Features organizations, case studies, and webinars, among other resources.
Date: 12/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details